| NPI | 1265655401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TN 7665) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TN APN0000007665) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2011-03-09 |