NPI | 1609376359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN203541) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN203541) |
Enumeration Date | 2018-02-20 |
Last Update Date | 2019-09-20 |