| NPI | 1487634614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992441-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001459A) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704251101) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2020-01-31 |