| NPI | 1265560684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN apn0000012346) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R868689) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2014-07-25 |