| NPI | 1619385986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MT NUR-RN-LIC-31509) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-RN-LIC-31509) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2015-07-18 |