NPI | 1326652827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 16194) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 2020042224) |
Enumeration Date | 2020-09-02 |
Last Update Date | 2024-12-19 |