| NPI | 1891870762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN12141) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN RN150384) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-06-06 |