NPI | 1295429843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34339) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-166015) |
Enumeration Date | 2023-06-06 |
Last Update Date | 2023-08-15 |