| NPI | 1386985257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000017084) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 17084) |
| Enumeration Date | 2013-03-02 |
| Last Update Date | 2024-07-23 |