NPI | 1144512294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15557) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 904381) |
Enumeration Date | 2011-05-09 |
Last Update Date | 2024-03-20 |