NPI | 1487007365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN24787) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008602) |
Enumeration Date | 2016-07-15 |
Last Update Date | 2022-03-30 |