| NPI | 1518970649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APRN7216) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN RN106155) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2009-11-06 |