NPI | 1508129438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN192517) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN192517) |
Enumeration Date | 2012-06-15 |
Last Update Date | 2021-10-18 |