NPI | 1407251705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN19335) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3009034) |
363LA2200X Nurse Practitioner, Adult Health (Licence: TN 19335) | |
Enumeration Date | 2014-10-29 |
Last Update Date | 2022-03-22 |