NPI | 1407247315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19522) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: TN APN0000019522) |
363LF0000X Nurse Practitioner, Family (Licence: MS R879072) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 19522) | |
Enumeration Date | 2015-02-13 |
Last Update Date | 2022-08-05 |