| NPI | 1588864912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000020443) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000210455) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2017-12-06 |