| NPI | 1508996547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000007599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000114976) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2024-03-06 |