| NPI | 1447393558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000142194) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 11754) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2009-11-30 |