| NPI | 1699963702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000012908) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A01010) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2008-08-12 |