NPI | 1073342184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN299938) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN299938) |
Enumeration Date | 2024-07-29 |
Last Update Date | 2024-08-01 |