NPI | 1194024497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 15721) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 15721) |
Enumeration Date | 2011-03-25 |
Last Update Date | 2015-05-18 |