| NPI | 1346659372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27614) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 216254) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2023-09-11 |