NPI | 1306032040 |
---|---|
Former Name | LENA MICHELLE DOSSETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN012729) |
Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: TN APN0000012729) |
Enumeration Date | 2007-09-17 |
Last Update Date | 2012-01-25 |