NPI | 1609846864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-051443) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN176817 NP) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2012-01-30 |