| NPI | 1194758359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 039698-23-03) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000013549) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2014-05-06 |