| NPI | 1194266148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 7968495-4405) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TN APN0000022036) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2019-07-11 |