| NPI | 1316572902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998047-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE lg-0001398) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2024-12-02 |