| NPI | 1285959940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9455988) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 161240) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2020-06-16 |