NPI | 1326300617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006781) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN185501) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2024-09-02 |