| NPI | 1316358690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 901534) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000018832) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2018-06-15 |