NPI | 1720152911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN12222) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN141769) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2012-12-17 |