| NPI | 1093041477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN14385) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000014385) |
| 163W00000X Registered Nurse (Licence: TN RN169832) | |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2014-07-17 |