NPI | 1154803666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 24843) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL AG09170078) |
Enumeration Date | 2018-08-30 |
Last Update Date | 2018-12-12 |