NPI | 1194855478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004795A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000007841) |
363LF0000X Nurse Practitioner, Family (Licence: KY 3004142P) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2015-02-09 |