| NPI | 1508268483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WY 49729) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0991335-NP) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2022-11-09 |