NPI | 1972618700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000006029) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000006029) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2017-11-15 |