NPI | 1013992106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN APN7113) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN7113) |
Enumeration Date | 2005-12-12 |
Last Update Date | 2017-12-07 |