NPI | 1851830368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN173358) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH CNP.020534) |
363L00000X Nurse Practitioner (Licence: KY CNP 3011229) | |
Enumeration Date | 2017-02-16 |
Last Update Date | 2024-11-27 |