NPI | 1346610177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN162347) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN162347) |
Enumeration Date | 2015-10-06 |
Last Update Date | 2018-05-30 |