NPI | 1790519569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN281786) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA NCO-000001) |
Enumeration Date | 2024-08-26 |
Last Update Date | 2024-08-26 |