| NPI | 1922180991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 6507) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000006507) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2013-06-24 |