| NPI | 1871849638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 16880) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 158599) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2017-10-13 |