NPI | 1972929172 |
---|---|
Former Name | GENEVIEVE FORGES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN257222) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171578) |
Enumeration Date | 2014-03-12 |
Last Update Date | 2019-10-30 |