| NPI | 1366751968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000015161) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA 181941) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2014-03-05 |