NPI | 1881927945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25606) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN143515) |
Enumeration Date | 2009-09-08 |
Last Update Date | 2024-07-15 |