| NPI | 1477596823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APRN 301) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000005349) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-03-08 |