| NPI | 1255675435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0992041) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 0992041) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2021-12-28 |