NPI | 1861810749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN165019) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN165019) |
Enumeration Date | 2014-03-28 |
Last Update Date | 2023-11-20 |