| NPI | 1265517338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 960012) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN 0000005863) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 960012) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2023-03-07 |