| NPI | 1891188702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015563) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011255) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000019657) | |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2020-10-06 |