NPI | 1760052534 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34772) |
Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: IA A161607) |
363L00000X Nurse Practitioner (Licence: IA A161607) | |
Enumeration Date | 2021-06-25 |
Last Update Date | 2024-02-08 |