NPI | 1003072273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 13830) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 151351) |
Enumeration Date | 2008-08-06 |
Last Update Date | 2022-09-11 |