NPI | 1982066460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21034) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 157873) |
363LF0000X Nurse Practitioner, Family (Licence: TN APN0000021034) | |
Enumeration Date | 2016-03-24 |
Last Update Date | 2024-11-19 |