NPI | 1699752311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 140261) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS A810205) |
363LF0000X Nurse Practitioner, Family (Licence: TN 8428) | |
Enumeration Date | 2005-12-22 |
Last Update Date | 2007-10-24 |