| NPI | 1134568728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN6236) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN RN0000076081) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2020-10-21 |