NPI | 1134685118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN216736) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN216736) |
Enumeration Date | 2019-02-14 |
Last Update Date | 2023-09-22 |