NPI | 1073979886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN283935) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-139936) |
Enumeration Date | 2016-01-08 |
Last Update Date | 2024-03-04 |