| NPI | 1265692776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO NP5752) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CO RN-163779) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2022-02-01 |