| NPI | 1427375716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14942) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 810514) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2016-05-11 |