| NPI | 1316943814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000007174) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 104898) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2010-12-06 |