NPI | 1174813240 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37617) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009694) |
Enumeration Date | 2011-04-11 |
Last Update Date | 2025-02-11 |