NPI | 1932145125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA 134967) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 134967) |
363LP2300X Nurse Practitioner, Primary Care (Licence: GA 134967) | |
Enumeration Date | 2006-06-22 |
Last Update Date | 2007-07-08 |