| NPI | 1518185693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN11120) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN APN11120) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-05-14 |