| NPI | 1851316962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MO 102112) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209004199) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-12-17 |