| NPI | 1912206764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000015701) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN APN15701) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2023-10-31 |