NPI | 1396806865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN244445) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 677806) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2023-04-13 |