NPI | 1326650789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 28168) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN INPROCESS) |
Enumeration Date | 2020-08-18 |
Last Update Date | 2020-09-09 |