| NPI | 1467737999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 16087) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 90701) |
| Enumeration Date | 2011-10-16 |
| Last Update Date | 2017-06-12 |