| NPI | 1710925458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN RN0000123113) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN7853) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2013-11-13 |