| NPI | 1386187284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3010808) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0003672-C-NP) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2024-09-06 |