| NPI | 1396039707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15848) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 159390) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN F0311040) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2018-02-14 |