| NPI | 1366982704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000022253) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 901839) |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2017-06-19 |