| NPI | 1093770133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 7686) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN RN117677) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2018-06-13 |