| NPI | 1467640714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19057) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000161405) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2014-08-26 |