NPI | 1730392259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 11742) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 11742) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2017-12-07 |