| NPI | 1043409139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000013163) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TN RN0000157281) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2012-05-30 |