| NPI | 1780009977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000017999) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000141528) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |