| NPI | 1326175704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5687) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO NP-990047) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 429630) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2019-05-23 |