| NPI | 1811481633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 23965) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN F02180026) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-12-05 |