NPI | 1952626681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 14745) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN APN0000014745) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9305579) | |
Enumeration Date | 2010-04-06 |
Last Update Date | 2024-10-23 |