| NPI | 1497908701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24069) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1465192) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2018-05-29 |