NPI | 1902842685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN6835) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 6835) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2009-06-18 |