| NPI | 1225525769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 25252) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.09938303-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 25252) | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2021-11-18 |