NPI | 1598121329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA AG0715074) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN193130) |
Enumeration Date | 2016-01-08 |
Last Update Date | 2022-07-21 |