NPI | 1336615871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: TN 25155) |
Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: TN 0000120431) |
363LF0000X Nurse Practitioner Family (Licence: TN 25155) | |
Enumeration Date | 2018-10-23 |
Last Update Date | 2024-05-29 |