| NPI | 1992004824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5012449) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TN 15675) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2020-02-19 |