NPI | 1801475793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29452) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000163452) |
Enumeration Date | 2021-04-07 |
Last Update Date | 2021-04-14 |