| NPI | 1629049796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN6230) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN75728) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2015-12-01 |