| NPI | 1851468524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000012039) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173000) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2018-11-01 |