NPI | 1932640331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000022132) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN 0000179246) |
Enumeration Date | 2017-03-17 |
Last Update Date | 2017-03-17 |