| NPI | 1972539419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000006719) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN006719) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-12-13 |