NPI | 1154736544 |
---|---|
Former Name | HANNAH SHOPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN1641396) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN164139) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2023-02-08 |