NPI | 1740870823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 32647) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 230885) |
363L00000X Nurse Practitioner (Licence: TN 32647) | |
Enumeration Date | 2021-01-21 |
Last Update Date | 2024-10-10 |