NPI | 1629435185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN159908) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 159908) |
Enumeration Date | 2016-01-28 |
Last Update Date | 2020-08-19 |