NPI | 1740749449 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN282171) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 25551) |
Enumeration Date | 2019-03-13 |
Last Update Date | 2022-06-28 |