| NPI | 1538418686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170129) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000016803) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2019-07-10 |