NPI | 1457758823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN216654) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN216654) |
Enumeration Date | 2014-12-01 |
Last Update Date | 2023-02-24 |