| NPI | 1578529699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN07502) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024169573) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2017-02-23 |