| NPI | 1225267735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14293) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 2009006026) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2012-07-02 |