NPI | 1013684760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 27294) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR 230792) |
Enumeration Date | 2021-08-29 |
Last Update Date | 2025-01-24 |