NPI | 1053010819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33682) |
Additional Taxonomies | 163WN0300X Registered Nurse, Nephrology (Licence: MS 868631) |
363LF0000X Nurse Practitioner, Family (Licence: MS 905902) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: TN 33682) | |
Enumeration Date | 2023-03-01 |
Last Update Date | 2023-11-29 |