NPI | 1376553719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000011774) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN RN0000093906) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2023-09-14 |