NPI | 1881278968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24989) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN263692) |
Enumeration Date | 2021-05-05 |
Last Update Date | 2023-01-04 |