NPI | 1528752318 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN236439) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN236439) |
Enumeration Date | 2023-06-06 |
Last Update Date | 2023-10-12 |