| NPI | 1912191222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 16657) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 16522) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2015-11-24 |