| NPI | 1467543108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 12171) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A01318) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-01-28 |