| NPI | 1497088553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN0000015652) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000170691) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2016-09-26 |