NPI | 1528807138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000035529) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 906195) |
Enumeration Date | 2024-05-22 |
Last Update Date | 2024-05-22 |