NPI | 1841754611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA 169400) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 169400) |
Enumeration Date | 2019-01-25 |
Last Update Date | 2023-12-21 |