NPI | 1487284840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000892) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015310) |
363L00000X Nurse Practitioner (Licence: NC 5015310) | |
363L00000X Nurse Practitioner (Licence: VA 0024178742) | |
Enumeration Date | 2020-01-23 |
Last Update Date | 2023-10-10 |