NPI | 1447709845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN294208) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 21853) |
Enumeration Date | 2016-09-26 |
Last Update Date | 2022-03-31 |