| NPI | 1386281533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012590) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: NC 424) |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2021-07-27 |