NPI | 1720527443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000022050) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN0000022050) |
Enumeration Date | 2017-02-14 |
Last Update Date | 2022-03-29 |