| NPI | 1629248505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 70373) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 70373) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 13255) | |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2016-05-03 |