| NPI | 1316289408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 17503) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 209762) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2016-10-21 |