| NPI | 1265984876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN21448) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000124219) |
| Enumeration Date | 2016-10-30 |
| Last Update Date | 2022-05-04 |