| NPI | 1457427577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: TN APN0000006681) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000092120) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2013-02-28 |