NPI | 1770723579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN195575) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 3873) |
Enumeration Date | 2009-03-06 |
Last Update Date | 2023-06-12 |