| NPI | 1982605382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN6851) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN96949) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-09-10 |