NPI | 1366139636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37520) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000251985) |
Enumeration Date | 2023-04-18 |
Last Update Date | 2024-11-26 |