| NPI | 1639531841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN21214) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN RN0000167452) |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2022-03-28 |