| NPI | 1104365683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22386) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TN 22386) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2020-01-10 |