| NPI | 1164735700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15586) |
| Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: TN RN0000101157) |
| Enumeration Date | 2010-07-25 |
| Last Update Date | 2015-07-23 |