| NPI | 1578099123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000022490) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9359375) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2022-01-25 |