| NPI | 1811001373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN11681) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN148373) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2008-02-13 |