| NPI | 1437710522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 206768) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: LA 206768) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-09-04 |