| NPI | 1770903098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC applied) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: SC applying) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2020-02-12 |