NPI | 1265185227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC BRAY-GAHIE) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5015803) |
Enumeration Date | 2022-01-31 |
Last Update Date | 2025-03-17 |