| NPI | 1477925568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 20622) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 20622) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2019-06-13 |