| NPI | 1881077568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 20062) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 165532) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-07-15 |