| NPI | 1285762344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-113025) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000013314) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 14489) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2023-10-07 |