NPI | 1699132787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN224236) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN224236) |
Enumeration Date | 2016-01-21 |
Last Update Date | 2025-06-16 |