NPI | 1790298222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN212830) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN212830) |
Enumeration Date | 2017-11-07 |
Last Update Date | 2024-05-23 |