| NPI | 1518976455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN5133) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN32647) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2012-06-26 |