NPI | 1255183679 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN295259) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP295259) |
Enumeration Date | 2024-04-02 |
Last Update Date | 2025-09-30 |