NPI | 1528408051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN186491) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18337) |
Enumeration Date | 2013-06-28 |
Last Update Date | 2024-09-11 |