NPI | 1568080836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30252) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 234948) |
Enumeration Date | 2020-07-13 |
Last Update Date | 2023-03-22 |