NPI | 1033258926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R875859) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000011258) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2014-09-23 |