NPI | 1780030734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN 243044) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN243044) |
Enumeration Date | 2016-05-09 |
Last Update Date | 2019-01-03 |