| NPI | 1265828230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 69134) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7738) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103406-C-NP) | |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2024-12-05 |