NPI | 1336923432 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34827) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1099536) |
Enumeration Date | 2023-08-21 |
Last Update Date | 2024-02-08 |