NPI | 1578913646 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN211008) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-121795) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2020-08-20 |