NPI | 1164525135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000005723) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN RN0000058098) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2007-07-08 |