NPI | 1467413922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 10841) |
Additional Taxonomies | 364SC2300X Clinical Nurse Specialist, Chronic Care (Licence: TN APN0000010841) |
363L00000X Nurse Practitioner (Licence: AL 1-040815) | |
Enumeration Date | 2006-03-31 |
Last Update Date | 2024-06-12 |