NPI | 1952307670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN097864) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN097864) |
Enumeration Date | 2005-06-27 |
Last Update Date | 2020-10-07 |