| NPI | 1164448221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991009) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CO 79473) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-01-05 |