| NPI | 1295019123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 11427 APN) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 11427 APN) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |