NPI | 1548496557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 21533) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 166081) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5004374) | |
Enumeration Date | 2009-06-04 |
Last Update Date | 2024-01-31 |