| NPI | 1851381644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000017577) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A03004ANP) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2014-01-23 |