NPI | 1912236209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN241302) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN241302) |
Enumeration Date | 2009-12-15 |
Last Update Date | 2017-05-18 |