| NPI | 1750641973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN16704) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN170680) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2013-12-12 |