NPI | 1518676568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37764) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 266682) |
Enumeration Date | 2022-11-18 |
Last Update Date | 2025-02-11 |