NPI | 1851050140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 39466) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 846525) |
Enumeration Date | 2021-12-14 |
Last Update Date | 2025-09-22 |