| NPI | 1578545232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000008286) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 000000135625) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2019-08-20 |