| NPI | 1538461405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10844) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO AO10844) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2021-09-13 |