| NPI | 1700571395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018197) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9535823) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NC 5018197) | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-07-11 |