NPI | 1154637288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15165) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60919653) |
Enumeration Date | 2010-08-26 |
Last Update Date | 2025-09-24 |