NPI | 1982057014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN195143) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA RN195143) |
Enumeration Date | 2016-07-13 |
Last Update Date | 2024-10-03 |