| NPI | 1568466399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN 6687) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024157548) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2009-09-23 |