| NPI | 1477557015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN ANP6572) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024091920) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2009-09-23 |