NPI | 1669877965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25367) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9383083) |
363LF0000X Nurse Practitioner, Family (Licence: NY 354984) | |
Enumeration Date | 2014-10-29 |
Last Update Date | 2024-10-04 |