| NPI | 1326114455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN APN0000006539) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000087831) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2012-01-27 |