| NPI | 1043622582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0997455) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1621559) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2022-04-27 |