| NPI | 1104419241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR 124537) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0002642-C-NP) |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2022-11-18 |