NPI | 1447462627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN12973) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 12973) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2022-03-31 |