| NPI | 1366708604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 2011020556) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000016562) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000042173) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2015-07-01 |