| NPI | 1649477738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN0000012812) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000140837) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2023-05-23 |