| NPI | 1679547343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN6927) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9178981) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2013-07-12 |