| NPI | 1003069774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0000156-c-np) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 13686) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2014-06-05 |