NPI | 1114979465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN066974) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN066974) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2013-09-24 |