NPI | 1669614335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18903) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000160910) |
Enumeration Date | 2009-03-27 |
Last Update Date | 2015-12-21 |