NPI | 1275097230 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22507) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN281733) |
Enumeration Date | 2019-01-24 |
Last Update Date | 2023-01-23 |