NPI | 1992384507 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN236013) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN236013) |
Enumeration Date | 2021-04-02 |
Last Update Date | 2024-10-08 |