NPI | 1477557015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN ANP6572) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024091920) |
Enumeration Date | 2005-06-10 |
Last Update Date | 2009-09-23 |