| NPI | 1992143994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000027210) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 194385) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2020-02-14 |