| NPI | 1659307247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000007939) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000124957) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A003937) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2015-03-30 |