NPI | 1609321827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21601) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 21601) |
Enumeration Date | 2016-08-17 |
Last Update Date | 2019-06-26 |