| NPI | 1790123776 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9361506)  | 
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: AL 1-101091)  | 
| Enumeration Date | 2013-06-12 | 
| Last Update Date | 2024-03-13 |