NPI | 1861631251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN131042) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-088780) |
Enumeration Date | 2009-02-10 |
Last Update Date | 2023-03-03 |