| NPI | 1306859061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 13745) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1041505) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2016-01-20 |