| NPI | 1124391230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9476322) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990714-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 831758) | |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2020-11-03 |