| NPI | 1053796276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23995) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991865-NP) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2024-01-04 |