| NPI | 1225549090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24486) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: SC 227661) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2023-03-14 |