| NPI | 1609178094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R863824) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MS R863824) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2015-08-21 |