NPI | 1245870534 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 26687) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 26687) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TN 26687) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: TN 26687) | |
Enumeration Date | 2020-01-14 |
Last Update Date | 2022-09-19 |