NPI | 1114619814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 35498) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 906004) |
Enumeration Date | 2023-05-22 |
Last Update Date | 2024-02-13 |