| NPI | 1538498399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000015097) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 6244P) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2010-12-27 |