NPI | 1316988645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN147542) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN147542NP) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2022-01-21 |