NPI | 1487286845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN235950) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC NP500020324) |
Enumeration Date | 2020-02-04 |
Last Update Date | 2024-10-16 |