| NPI | 1093037731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000014688) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK NURU1367) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2022-12-09 |