NPI | 1871896357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN ANP0000032931) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: TN ANP0000032931) |
163WW0000X Registered Nurse, Wound Care (Licence: TN 240519326) | |
Enumeration Date | 2010-12-06 |
Last Update Date | 2024-06-24 |