| NPI | 1518283399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14966) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000155686) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2016-10-19 |