NPI | 1457831471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24622) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 169146) |
363L00000X Nurse Practitioner (Licence: TN 24622) | |
Enumeration Date | 2018-08-20 |
Last Update Date | 2025-06-11 |