NPI | 1881065878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 263184) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN325817) |
Enumeration Date | 2015-10-15 |
Last Update Date | 2025-02-10 |