NPI | 1316375967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN257765) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9340001) |
Enumeration Date | 2013-10-17 |
Last Update Date | 2022-05-19 |