NPI | 1427359843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN243427) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN243427) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9194072) | |
Enumeration Date | 2010-11-17 |
Last Update Date | 2023-08-14 |