| NPI | 1033119557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN7024) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN RN101110) |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2012-05-23 |