| NPI | 1831295237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R888820) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN000005817) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2019-02-26 |