| NPI | 1649267600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1400X Registered Nurse, College Health (Licence: TN 32648) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000005134) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2007-07-08 |