| NPI | 1720152911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN12222) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN141769) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2012-12-17 |