| NPI | 1598936130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007395) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000013238) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP2209870) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2209872) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000013238) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5007395) | |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2015-04-21 |