| NPI | 1285872580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TN 13935) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 13935) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2016-10-21 |