| NPI | 1578814299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0002425-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NE 111419) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2021-02-28 |