| NPI | 1750523163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004388) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2017-04-28 |