NPI | 1679373930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003312) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX APRN-CNP1197502) |
363LF0000X Nurse Practitioner, Family (Licence: WY 56351) | |
Enumeration Date | 2025-03-17 |
Last Update Date | 2025-06-02 |