NPI | 1891907069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN104182) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN104182) |
363LF0000X Nurse Practitioner, Family (Licence: GA RN104182) | |
Enumeration Date | 2007-05-03 |
Last Update Date | 2011-12-15 |