NPI | 1225364599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN253219) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000014318) |
363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01776) | |
Enumeration Date | 2009-10-21 |
Last Update Date | 2017-07-10 |