NPI | 1336465160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NP000269) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA GAA-NP000269) |
363L00000X Nurse Practitioner (Licence: FL ARNP9166841) | |
Enumeration Date | 2010-04-19 |
Last Update Date | 2025-04-28 |