NPI | 1841776820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NP002428) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 21723) |
Enumeration Date | 2018-07-13 |
Last Update Date | 2024-07-18 |