| NPI | 1073882510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016580) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21744) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990332-NP) | |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2022-05-13 |