NPI | 1306160262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000014574) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000146220) |
363LF0000X Nurse Practitioner, Family (Licence: CA 13689) | |
364S00000X Clinical Nurse Specialist (Licence: CA 783) | |
Enumeration Date | 2010-03-22 |
Last Update Date | 2023-06-28 |