| NPI | 1326349614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA rn221005) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN F1010138) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2012-10-17 |