| NPI | 1245832328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 25228) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0995884-NP) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2021-08-10 |