NPI | 1861049348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000025605) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TN 25605) |
Enumeration Date | 2019-08-20 |
Last Update Date | 2024-08-30 |