| NPI | 1609252527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 20064) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TN 189428) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |