| NPI | 1538408372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 17392) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000016532) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2016-07-18 |