| NPI | 1942294574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN RN53289) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN5603) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2008-04-24 |