| NPI | 1346658887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994676-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704256150) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2019-06-11 |