| NPI | 1881123214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 22728) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN F05170619) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-07-06 |