| NPI | 1518267533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 15399) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 162329) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2017-02-02 |