NPI | 1407217771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN211964) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN211964) |
Enumeration Date | 2016-03-15 |
Last Update Date | 2022-04-08 |