| NPI | 1396879383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000012439) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 12439) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2023-06-05 |