| NPI | 1912963026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN05038) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169706) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2017-03-14 |