| NPI | 1164414587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN7471) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 81-0108) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A01556ANP) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2016-10-18 |