| NPI | 1760499388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN11725) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN98603) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2019-01-03 |