| NPI | 1083025225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID APRN-CNP67350) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995359-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9236016) | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2021-02-11 |