| NPI | 1366608226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 14036) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-069360) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2019-06-12 |