NPI | 1376538892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN RN129014) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 8112) |
Enumeration Date | 2005-09-12 |
Last Update Date | 2014-04-09 |