| NPI | 1083969455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: UT 5322635-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 5322635-8900) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2016-01-05 |