| NPI | 1487104949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MI 4704272224) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704272224) |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2019-04-05 |