| NPI | 1689067324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024185850) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MS R872000) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2023-03-30 |