| NPI | 1477806909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R883220) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000017955) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2023-09-20 |