| NPI | 1649500083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000014862) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000106605) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2020-07-30 |