NPI | 1861081457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN242779) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008344) |
Enumeration Date | 2021-01-18 |
Last Update Date | 2021-01-18 |