| NPI | 1457545634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN12848) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000012848) |
| 163W00000X Registered Nurse (Licence: TN RN126047) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2012-11-07 |