| NPI | 1427020858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN TNAPN7303) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN TNRN108700) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2016-03-28 |