NPI | 1588911036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25479) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 189643) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2024-07-08 |