NPI | 1174878516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN16867) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN298561) |
Enumeration Date | 2012-07-23 |
Last Update Date | 2023-02-02 |