| NPI | 1093016081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000015214) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000103481) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2017-12-04 |