| NPI | 1891048765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000017089) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000017089) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2020-11-05 |