NPI | 1710160791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN269761) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128107) |
Enumeration Date | 2007-12-12 |
Last Update Date | 2023-02-02 |