NPI | 1053065730 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 31307) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000672) |
363LF0000X Nurse Practitioner, Family (Licence: TN 133484) | |
Enumeration Date | 2022-02-10 |
Last Update Date | 2023-04-11 |