NPI | 1104891852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000010916) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN APN0000010916) |
Enumeration Date | 2006-02-17 |
Last Update Date | 2009-06-23 |