NPI | 1164944039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22898) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902144) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2022-11-10 |