NPI | 1902505696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020157) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN224396) |
Enumeration Date | 2023-03-01 |
Last Update Date | 2024-07-09 |