| NPI | 1013911007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN RN0000044603) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN0000005409) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2011-08-03 |