NPI | 1619977964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 130639) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 130639) |
Enumeration Date | 2005-07-28 |
Last Update Date | 2012-12-28 |