NPI | 1982305363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33668) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 198338) |
Enumeration Date | 2023-03-13 |
Last Update Date | 2023-03-22 |