NPI | 1568736650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 16547) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 186219) |
Enumeration Date | 2012-03-07 |
Last Update Date | 2025-06-30 |