| NPI | 1588961296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000015442) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000015442) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 15442) | |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2020-04-09 |