| NPI | 1386125631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0994114-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 40467.1790) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2022-06-08 |