| NPI | 1063991677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN F03200318) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: WA 60575983) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2020-03-23 |