| NPI | 1316229842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006653A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO NP-990202) |
| Enumeration Date | 2011-09-11 |
| Last Update Date | 2017-03-13 |