| NPI | 1477569911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN RN0000080167) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000006345) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-08-08 |