NPI | 1124465588 |
---|---|
Former Name | BIANCA RAE GERMANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN203157) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN203157) |
Enumeration Date | 2013-05-25 |
Last Update Date | 2022-12-19 |