| NPI | 1952496408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN6871) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN RN97696) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-09-04 |