| NPI | 1477811784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20359) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000016630) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2021-02-22 |