| NPI | 1316298383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000016987) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004341) |
| Enumeration Date | 2012-09-30 |
| Last Update Date | 2015-07-23 |