NPI | 1295879013 |
---|---|
Former Name | TINA VINCENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000525) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE l10033340) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2014-04-22 |