NPI | 1235529256 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21713) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F0115828) |
Enumeration Date | 2015-01-28 |
Last Update Date | 2016-11-01 |