NPI | 1598145138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32365) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-128853) |
Enumeration Date | 2015-06-08 |
Last Update Date | 2023-03-09 |