NPI | 1144797085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10003750) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN228546) |
Enumeration Date | 2018-10-29 |
Last Update Date | 2023-03-21 |