NPI | 1053635557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN14897) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN168740) |
Enumeration Date | 2010-03-26 |
Last Update Date | 2010-03-26 |