NPI | 1093577470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 37200) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9642596) |
Enumeration Date | 2024-01-30 |
Last Update Date | 2024-10-01 |