| NPI | 1144353186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN20851) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN155059) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-09-29 |