NPI | 1548601644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN203151) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 18396) |
Enumeration Date | 2013-07-17 |
Last Update Date | 2018-12-21 |