| NPI | 1598777260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 10979TN) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000010979) |
| 363L00000X Nurse Practitioner (Licence: TN 0000010979) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166487) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2019-12-11 |