| NPI | 1962757302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 17928) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: SC 17928) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2019-06-03 |