NPI | 1689191470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN rn0000160178) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 23106) |
Enumeration Date | 2017-08-23 |
Last Update Date | 2017-11-20 |