NPI | 1700394889 |
---|---|
Former Name | RHONDA AVERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN219261) |
Additional Taxonomies | 208600000X Surgery (Licence: GA RN219261) |
Enumeration Date | 2018-01-11 |
Last Update Date | 2023-10-20 |