| NPI | 1326384991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN APN17332) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN17332) |
| 363L00000X Nurse Practitioner (Licence: TN APN17332) | |
| 163W00000X Registered Nurse (Licence: TN 156032) | |
| Enumeration Date | 2012-12-29 |
| Last Update Date | 2015-11-03 |