| NPI | 1316291479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 2429) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP4949) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 12199) | |
| Enumeration Date | 2012-10-28 |
| Last Update Date | 2021-01-29 |