| NPI | 1558545160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-143033) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MA 215926) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2024-08-12 |