| NPI | 1235563669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 37234) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MT 37234) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2021-04-05 |