| NPI | 1952655342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN0000017091) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN RN0000137525) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2022-03-25 |