| NPI | 1053505123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: TN RN0000034318) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TN RN00000343818) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |