| NPI | 1841471489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 13089) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 100051) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-30 |