| NPI | 1962474825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000020321) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2028812) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-118334) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2017-07-12 |