| NPI | 1235598160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000020381) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 20381) |
| Enumeration Date | 2016-02-20 |
| Last Update Date | 2018-07-17 |