NPI | 1740679273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN215492) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN215492) |
Enumeration Date | 2015-01-21 |
Last Update Date | 2017-12-31 |