| NPI | 1518336890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000020797) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 6253) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2016-09-15 |