NPI | 1013770262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37213) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 274386) |
Enumeration Date | 2024-01-31 |
Last Update Date | 2024-09-28 |