NPI | 1174997647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN224677) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN224677) |
Enumeration Date | 2015-11-21 |
Last Update Date | 2022-07-21 |