| NPI | 1275984080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 21330) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 1434119) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 21330) | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2017-03-10 |