| NPI | 1285800235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000007913) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC APN18102) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2020-03-16 |