| NPI | 1386200442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 903236) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO c-apn.0001444-c-np) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |