| NPI | 1972825545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14015) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR ATP 236) |
| 163W00000X Registered Nurse (Licence: MS R870228) | |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-24 |