| NPI | 1366430845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN6596) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN RN0000089368) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2009-03-13 |