| NPI | 1992992754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: TN RN0000109979) |
| Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: TN RN0000109979) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2012-06-26 |