NPI | 1679693204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 144454) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN152378) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2019-07-17 |