| NPI | 1396168019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 18299) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 180907) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2016-08-18 |