| NPI | 1164820882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0003064) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 0097956) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2024-04-25 |