NPI | 1114541919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27646) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 231667) |
Enumeration Date | 2020-06-08 |
Last Update Date | 2021-08-02 |