| NPI | 1952343956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 6973) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164970) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2014-02-12 |