NPI | 1518574151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R250854) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN265045) |
163W00000X Registered Nurse (Licence: MD R250854) | |
363LF0000X Nurse Practitioner, Family (Licence: GA RN265045) | |
Enumeration Date | 2020-09-28 |
Last Update Date | 2021-10-19 |