| NPI | 1902810906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000006154) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 73605) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2009-04-09 |