| NPI | 1295100915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000020618) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 20618) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2022-04-04 |