| NPI | 1588708093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APRN 6947) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN RN98789) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2022-03-29 |