| NPI | 1780686865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000007650) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165213) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000116388) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0001162148) | |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2018-07-13 |