NPI | 1649830928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN163257) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F04190450) |
Enumeration Date | 2019-06-18 |
Last Update Date | 2020-12-11 |