| NPI | 1396832408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN07105) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 7105) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2017-11-20 |