| NPI | 1962423368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 6609) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN RN089429) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-04-10 |