NPI | 1851039291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN284472) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN284472) |
Enumeration Date | 2022-05-25 |
Last Update Date | 2024-10-07 |