NPI | 1699115030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN178980) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 067725-23) |
Enumeration Date | 2013-06-30 |
Last Update Date | 2016-05-10 |