| NPI | 1487007365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN24787) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008602) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2022-03-30 |