| NPI | 1932262417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 7672) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 117022) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-12-27 |