| NPI | 1891182358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 18890) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000018890) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-05-18 |