| NPI | 1023327814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 15335) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 172789) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2016-04-29 |