NPI | 1184948838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20475) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN162894 NP) |
Enumeration Date | 2010-03-24 |
Last Update Date | 2013-05-03 |