| NPI | 1992131338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000034500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R872738) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2024-08-13 |