NPI | 1396477535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN245740) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN245740) |
Enumeration Date | 2022-06-27 |
Last Update Date | 2022-06-27 |