| NPI | 1578654422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000012826) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 515308) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CA 1857) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2009-07-16 |