| NPI | 1386031789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0997473) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1628418) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2022-07-29 |