NPI | 1760516835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN092114) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN092114 GA) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2014-02-17 |