| NPI | 1275567307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000006608) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 89426) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-04-20 |