| NPI | 1144317264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APRN06288) |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: TN APRN06288) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2011-05-11 |