NPI | 1649616392 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN132706) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN132706) |
Enumeration Date | 2013-05-21 |
Last Update Date | 2022-12-20 |