| NPI | 1124017967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0001478) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001484) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2019-09-19 |