NPI | 1679958995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-58574) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN20121) |
Enumeration Date | 2015-07-28 |
Last Update Date | 2020-01-10 |