| NPI | 1790765345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 11935) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000011935) |
| 163W00000X Registered Nurse (Licence: TN 91090) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2016-11-09 |