| NPI | 1598752891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000005790) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 0000005790) |
| Enumeration Date | 2005-10-02 |
| Last Update Date | 2017-05-04 |