| NPI | 1265428338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000010739) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP8498) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2008-12-02 |