| NPI | 1821486465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-129376) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000203703) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2022-09-15 |