NPI | 1659086296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN247679) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 32976) |
Enumeration Date | 2023-01-18 |
Last Update Date | 2024-10-21 |