| NPI | 1306062542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN12680) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN Apn12680) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 0000060274) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-02-11 |