| NPI | 1073703211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5003233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18295) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NC 070835) | |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NC 5003233) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2021-11-23 |