NPI | 1396141636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 20942) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN058278) |
Enumeration Date | 2014-11-14 |
Last Update Date | 2023-03-16 |