| NPI | 1538497888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 14604) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 59038) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2015-12-02 |