NPI | 1730406562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14831) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R79688) |
Enumeration Date | 2010-05-04 |
Last Update Date | 2020-01-07 |