| NPI | 1548341175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000006614) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000089686) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2016-08-29 |