| NPI | 1821022716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN11556) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN RN151508) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-01-11 |