NPI | 1609332840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25840) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R865676) |
Enumeration Date | 2019-02-12 |
Last Update Date | 2024-06-25 |