| NPI | 1124025747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN6336) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 6336) |
| Enumeration Date | 2005-06-29 |
| Last Update Date | 2017-11-22 |