| NPI | 1437295078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 13515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 70125) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2016-07-06 |