NPI | 1871915298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 10399) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18382) |
163W00000X Registered Nurse (Licence: TN 0000174450) | |
363LF0000X Nurse Practitioner, Family (Licence: IN 71005541A) | |
Enumeration Date | 2014-01-21 |
Last Update Date | 2024-02-15 |