NPI | 1356110670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN289991) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN289991) |
363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN289991) | |
Enumeration Date | 2023-12-28 |
Last Update Date | 2023-12-28 |