NPI | 1972083905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN238115) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN238115) |
Enumeration Date | 2018-08-20 |
Last Update Date | 2018-08-20 |