| NPI | 1366590705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WX0800X Registered Nurse Orthopedic (Licence: TN RN047060) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: TN OPA0805) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |