NPI | 1871849638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 16880) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 158599) |
Enumeration Date | 2012-07-31 |
Last Update Date | 2017-10-13 |