NPI | 1467116053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN250725) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN250725) |
Enumeration Date | 2021-10-28 |
Last Update Date | 2023-02-24 |