| NPI | 1205036746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 12829) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000012829) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2014-10-13 |