| NPI | 1023362894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0995500-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 201250167NP) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2021-07-15 |