| NPI | 1184885931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 6791) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 122828) |
| 163W00000X Registered Nurse (Licence: TN 94695) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2012-04-12 |