NPI | 1316358690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 901534) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000018832) |
Enumeration Date | 2014-05-08 |
Last Update Date | 2018-06-15 |