NPI | 1861723066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN6394) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN82423) |
Enumeration Date | 2010-01-27 |
Last Update Date | 2019-02-14 |