NPI | 1164720090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN171108) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN171108) |
Enumeration Date | 2011-03-01 |
Last Update Date | 2020-08-19 |