| NPI | 1922074178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN5668) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN55779) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2009-12-18 |