| NPI | 1962732859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN14784) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14784) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2020-09-10 |