NPI | 1073310165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003654) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL aprn11038622) |
363L00000X Nurse Practitioner (Licence: GA GAA-NP003654) | |
Enumeration Date | 2025-02-26 |
Last Update Date | 2025-08-20 |