NPI | 1033597869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 19443) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 19443) |
Enumeration Date | 2015-05-13 |
Last Update Date | 2024-05-08 |