| NPI | 1184764912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-055018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000006371) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN 081283) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2017-04-04 |