| NPI | 1164480281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0991742-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 937) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-11-13 |