| NPI | 1730433475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 16965) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 16965) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2019-06-13 |