| NPI | 1538301015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP3312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO C-APM.0004578-C-NP) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2023-05-26 |