| NPI | 1366738585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991735) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.008712) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2022-02-16 |