| NPI | 1962706192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A099512) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: IA A099512) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2019-01-31 |