| NPI | 1427422948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-104706) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000020040) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2019-06-27 |