| NPI | 1568462182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN APN0000005224) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000037812) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2017-09-08 |