| NPI | 1639487556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN15091) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 15091) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 15091) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2018-06-16 |