| NPI | 1306133848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000015939) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS A810422) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2024-02-13 |