| NPI | 1710228911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO NP0000047) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000170255) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN 0000017198) | |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |