| NPI | 1316244643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN6710) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 15658) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2014-07-30 |