NPI | 1023655461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26449) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 26449) |
Enumeration Date | 2019-12-04 |
Last Update Date | 2024-08-07 |