NPI | 1003288408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26708) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 175738) |
Enumeration Date | 2015-10-24 |
Last Update Date | 2022-03-22 |