| NPI | 1588870620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000011674) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 363L00000X) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 11674) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2024-08-06 |