| NPI | 1063452365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN5618) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN53508) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2011-10-12 |