NPI | 1205592433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 31368) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 31368) |
Enumeration Date | 2021-11-11 |
Last Update Date | 2023-07-01 |