NPI | 1821261884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN ARN13377) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN13377) |
Enumeration Date | 2008-04-10 |
Last Update Date | 2022-03-31 |