NPI | 1477635290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN102372) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN102372) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2023-06-21 |