| NPI | 1417130048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN10588) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN0000010588) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2021-08-10 |