NPI | 1861850398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN273079) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9326230) |
363LF0000X Nurse Practitioner, Family (Licence: MD AC003147) | |
363LF0000X Nurse Practitioner, Family (Licence: FL F0716304) | |
Enumeration Date | 2016-01-28 |
Last Update Date | 2023-12-19 |