| NPI | 1821376724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 21096) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000114566) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2018-03-17 |