NPI | 1477596823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APRN 301) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000005349) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2016-03-08 |