| NPI | 1972532570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000013896) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000168560) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-09-15 |