| NPI | 1093758401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9318314) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN10554) |
| 363L00000X Nurse Practitioner (Licence: PA RN591344) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-05-16 |