| NPI | 1447433321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN13007) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 13007) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 902453) | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2021-10-28 |