NPI | 1730520388 |
---|---|
Former Name | MITZI URSAL DIGNOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000017585) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN APN0000017585) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2016-03-16 |