NPI | 1285294744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33877) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NV RN777228) |
363LF0000X Nurse Practitioner, Family (Licence: NV 828574) | |
Enumeration Date | 2019-06-17 |
Last Update Date | 2025-03-31 |