| NPI | 1962596809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN apn0000011973) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN apn0000011973) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-09-13 |