| NPI | 1801800867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN RN0000098800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 6950) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2009-12-15 |