| NPI | 1336148519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000005771) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN59481) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN5771) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2011-12-01 |