| NPI | 1144379116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 99490) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0004628) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-11-27 |