| NPI | 1932640331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000022132) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN 0000179246) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |