NPI | 1083615868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 6089) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 71328) |
Enumeration Date | 2005-08-03 |
Last Update Date | 2020-04-28 |