NPI | 1932497674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 36546) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024169461) |
Enumeration Date | 2011-07-15 |
Last Update Date | 2024-09-04 |