| NPI | 1679745780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000013257) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 870757) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2022-08-23 |