NPI | 1124378054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 225307) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA 225307) |
Enumeration Date | 2012-09-18 |
Last Update Date | 2017-05-24 |