| NPI | 1003992421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000012226) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3005909) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2016-11-29 |