NPI | 1588807945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 14128) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14128) |
Enumeration Date | 2009-04-15 |
Last Update Date | 2022-07-13 |