| NPI | 1336547298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9237893) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001351-C-NP) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2019-02-18 |