NPI | 1982836672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN14311) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14311) |
Enumeration Date | 2009-08-14 |
Last Update Date | 2022-03-29 |