| NPI | 1407834732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA RN087544-AP05778) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN11580) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000011580) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2015-07-28 |