| NPI | 1992961841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 15085) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: TN 177910) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2016-04-20 |