| NPI | 1427441419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000019774) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 19774) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR AA004426) | |
| Enumeration Date | 2015-03-15 |
| Last Update Date | 2022-01-18 |