| NPI | 1932559788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000021169) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 21169) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2019-12-20 |