| NPI | 1245285907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 7078) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024086394) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2016-07-20 |