| NPI | 1285007393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NY 340202) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009707) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2017-02-14 |