| NPI | 1730411901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14499) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 174689) |
| 163W00000X Registered Nurse (Licence: TN 174689) | |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2014-12-29 |