| NPI | 1285869628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14021) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 108638) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2011-04-07 |