NPI | 1518539550 |
---|---|
Former Name | THABITA GATSIMBANYI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 260573) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 14101583-4405) |
363LF0000X Nurse Practitioner, Family (Licence: MT 239676) | |
Enumeration Date | 2021-07-10 |
Last Update Date | 2024-08-09 |