| NPI | 1871771725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14916) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000162455) |
| Enumeration Date | 2008-02-02 |
| Last Update Date | 2014-08-20 |