| NPI | 1982771226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000012385) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN RN151900) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-04-14 |