NPI | 1962100784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33575) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 99999) |
Enumeration Date | 2023-02-21 |
Last Update Date | 2023-04-04 |