NPI | 1972298974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 27530) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN280788) |
Enumeration Date | 2023-04-06 |
Last Update Date | 2024-10-31 |