| NPI | 1659825479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC F1215443) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN APN0000025892) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2019-09-25 |