NPI | 1710243720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18095) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9336639) |
Enumeration Date | 2012-04-03 |
Last Update Date | 2022-03-31 |