| NPI | 1528360369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000015217) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000177541) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2011-12-20 |