| NPI | 1528370350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 0000015064) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 145991) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2012-12-31 |