NPI | 1356877435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22865) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN196836) |
Enumeration Date | 2017-05-10 |
Last Update Date | 2019-01-11 |