| NPI | 1245232263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 5699) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 57022) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2016-09-23 |