| NPI | 1447651419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN19166) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 19166) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2019-10-21 |