NPI | 1659844553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25482) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 902604) |
363LF0000X Nurse Practitioner, Family (Licence: MS 902604) | |
Enumeration Date | 2019-01-03 |
Last Update Date | 2021-10-22 |