NPI | 1205558541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 32592) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TN 32592) |
Enumeration Date | 2022-09-14 |
Last Update Date | 2025-06-18 |