| NPI | 1124045141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991938) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APN000634) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 9308) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2015-10-28 |