NPI | 1255428389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN8046) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN8046) |
Enumeration Date | 2006-10-09 |
Last Update Date | 2022-03-31 |