NPI | 1174387161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN295633) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN295633) |
Enumeration Date | 2024-02-09 |
Last Update Date | 2024-05-31 |