| NPI | 1891981478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN6104) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS R868795) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2022-05-01 |