| NPI | 1750501326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 11970) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: TN 96894) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2009-09-16 |