| NPI | 1508882085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN7836) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN RN122192) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-07-08 |