NPI | 1629012331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000005515) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN10078 NP) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2016-03-23 |