| NPI | 1881159903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25379) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000025379) |
| Enumeration Date | 2019-02-02 |
| Last Update Date | 2019-04-01 |