NPI | 1114599180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN243104) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN243104) |
Enumeration Date | 2021-07-10 |
Last Update Date | 2025-04-28 |