| NPI | 1609192368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000014775) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14775) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2016-12-09 |