| NPI | 1831407485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN F0910038) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 15700) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2018-05-02 |