NPI | 1548827223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25792) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 25792) |
Enumeration Date | 2019-05-29 |
Last Update Date | 2024-01-18 |