| NPI | 1154957330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996341-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704281803) |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2024-09-25 |