| NPI | 1164525135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000005723) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN RN0000058098) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |