| NPI | 1972608669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 11831) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN TN APN 11831) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2015-02-18 |