| NPI | 1275577421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000007094) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000103451) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2008-04-18 |