| NPI | 1982977294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 16537) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: TN 145634) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: TN 16537) | |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2018-03-17 |