NPI | 1245232263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 5699) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 57022) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2016-09-23 |