NPI | 1033501127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19250) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 99761) |
Enumeration Date | 2015-02-26 |
Last Update Date | 2023-12-27 |