| NPI | 1407104946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 16885) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 16885) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2017-02-17 |