NPI | 1790550465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 35044) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 35044) |
Enumeration Date | 2023-11-22 |
Last Update Date | 2023-12-14 |