| NPI | 1972771780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 0000013281) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000145820) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2015-06-16 |