NPI | 1093758401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9318314) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN10554) |
363L00000X Nurse Practitioner (Licence: PA RN591344) | |
Enumeration Date | 2006-06-14 |
Last Update Date | 2022-05-16 |