| NPI | 1518379189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995789-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11283) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2024-05-17 |