| NPI | 1679561054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN6906) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN RN98689) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2022-11-09 |