NPI | 1750559837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN045454NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN045454) |
Enumeration Date | 2008-02-12 |
Last Update Date | 2025-07-11 |