NPI | 1114386307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN146147) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN147136) |
Enumeration Date | 2016-02-16 |
Last Update Date | 2024-12-08 |