NPI | 1801501945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33989) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR f01230434) |
363LF0000X Nurse Practitioner, Family (Licence: AR 223474) | |
Enumeration Date | 2023-01-23 |
Last Update Date | 2023-05-22 |