| NPI | 1487163549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 23026) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 23026) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2018-06-28 |