NPI | 1326203886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 13617) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000160870) |
Enumeration Date | 2008-07-24 |
Last Update Date | 2014-07-23 |