NPI | 1972121127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 29178) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 215795) |
Enumeration Date | 2020-07-13 |
Last Update Date | 2021-03-22 |