NPI | 1992253140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21755) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174242) |
Enumeration Date | 2016-09-16 |
Last Update Date | 2024-06-05 |