| NPI | 1598920704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN13456) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN13456) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MS A810264) | |
| 363L00000X Nurse Practitioner (Licence: MS A810264) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2016-11-07 |