| NPI | 1982874533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000013246) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 141571) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2019-12-19 |