NPI | 1255316238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN RN142755) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN8452) |
Enumeration Date | 2005-12-13 |
Last Update Date | 2007-07-08 |