| NPI | 1891761144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN APN0000007482) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN RN0000112635) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2018-04-11 |