| NPI | 1124354162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000014917) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000160857) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN14917) | |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2020-01-27 |