NPI | 1831436765 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000017177) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 17177) |
Enumeration Date | 2013-01-11 |
Last Update Date | 2021-04-22 |