| NPI | 1134226129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9332137) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN 11787) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-03-19 |