| NPI | 1215935499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN6889) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN98189) |
| 363L00000X Nurse Practitioner (Licence: TN RN98189) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN199692 NP) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-09-29 |