NPI | 1235502246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN280993) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013253) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024190378) | |
363LF0000X Nurse Practitioner, Family (Licence: NC 5020039) | |
363LF0000X Nurse Practitioner, Family (Licence: WV 119837) | |
Enumeration Date | 2015-11-12 |
Last Update Date | 2024-06-10 |