| NPI | 1386876001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 14409) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 154922) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2012-03-23 |