| NPI | 1750691028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN apn0000015256) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN rn0000145229) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2023-05-12 |