NPI | 1780106328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23050) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175087) |
Enumeration Date | 2017-07-14 |
Last Update Date | 2022-05-04 |