| NPI | 1285808626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 5965) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS A810342) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2010-09-15 |