NPI | 1831280361 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006720) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN073802) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2019-09-03 |