| NPI | 1639133473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN07770) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN119860) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2014-12-23 |