| NPI | 1437579331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 1626186) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN-0991162-NP) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2019-04-18 |