NPI | 1528482809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18421) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN 173831) |
Enumeration Date | 2014-02-07 |
Last Update Date | 2015-02-18 |