| NPI | 1144662370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN17784) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 17784) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS APNA810620) | |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2020-08-16 |