| NPI | 1891967360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN12980) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN142195) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2021-09-15 |