| NPI | 1841300597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000008088) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169737) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-02-01 |