| NPI | 1144639170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000018876) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000018876) |
| 363L00000X Nurse Practitioner (Licence: TN 0000018876) | |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2016-01-18 |