| NPI | 1013314384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19279) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007356) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2017-02-16 |