NPI | 1376844357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000015298) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN15298) |
Enumeration Date | 2010-11-08 |
Last Update Date | 2023-06-01 |