NPI | 1568962413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23530) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 185956) |
Enumeration Date | 2018-02-17 |
Last Update Date | 2023-06-15 |