NPI | 1699399568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 36620) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 230876) |
Enumeration Date | 2020-06-05 |
Last Update Date | 2024-08-15 |