NPI | 1568776235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN19684) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 162814) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NC 162814) | |
Enumeration Date | 2010-08-04 |
Last Update Date | 2016-05-02 |