NPI | 1811530454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26659) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: TN 26659) |
Enumeration Date | 2019-10-27 |
Last Update Date | 2024-07-29 |