| NPI | 1093757197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 61980) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 5839) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-06-13 |