| NPI | 1023454592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 17315) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 160026) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2017-05-11 |