| NPI | 1326287616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000014717) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335758) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2022-03-31 |