| NPI | 1861460222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 5930) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN5390) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2012-11-29 |