| NPI | 1659646099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 31964) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 215557) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2024-01-03 |