| NPI | 1861487282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN6814) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN RN95592) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2018-05-21 |