NPI | 1821218561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 6594) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 6549) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-10-26 |