| NPI | 1376693234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN15028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN104971) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-09-17 |