| NPI | 1427207570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24520) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TN 4688) |
| Enumeration Date | 2008-09-13 |
| Last Update Date | 2024-02-09 |