| NPI | 1720317258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000014623) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TN RN000140378) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2011-07-14 |