| NPI | 1225261886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000014187) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 205058) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2020-09-25 |