NPI | 1780771899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN5766) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN5766) |
Enumeration Date | 2006-10-09 |
Last Update Date | 2020-10-15 |