NPI | 1851826390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN218085) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 19813A) |
Enumeration Date | 2017-04-21 |
Last Update Date | 2021-02-15 |