| NPI | 1043455561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 14169) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14169) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2016-11-15 |