NPI | 1669009007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000027176) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR 226014) |
Enumeration Date | 2020-03-25 |
Last Update Date | 2024-04-12 |