| NPI | 1467689679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991853-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003991A) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2018-11-29 |