NPI | 1528897709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 0000227596) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000035916) |
Enumeration Date | 2024-07-29 |
Last Update Date | 2024-07-29 |