| NPI | 1083749493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000005326) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: TN RN0000041641) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2009-02-18 |