| NPI | 1801160783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 20528) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000165178) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2016-10-14 |