NPI | 1366089161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26784) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 26784) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN000026784) | |
Enumeration Date | 2019-11-30 |
Last Update Date | 2023-09-28 |