NPI | 1659551950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW4481) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 4481) |
363LA2200X Nurse Practitioner, Adult Health (Licence: TN 17111) | |
Enumeration Date | 2007-11-05 |
Last Update Date | 2019-02-18 |