| NPI | 1235310996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN12217) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS A810214) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2023-03-07 |