NPI | 1477443588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN185553) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002334) |
Enumeration Date | 2025-07-09 |
Last Update Date | 2025-07-09 |