| NPI | 1528482809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18421) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN 173831) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2015-02-18 |