NPI | 1902056658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 99913) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R873364) |
207Q00000X Family Medicine (Licence: GA 12793) | |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024168090) | |
363LF0000X Nurse Practitioner, Family (Licence: AL 1-138507) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-09-30 |
Last Update Date | 2024-07-12 |