NPI | 1831779610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA GAA-NP000107) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 29192) |
Enumeration Date | 2021-04-14 |
Last Update Date | 2021-05-17 |