| NPI | 1609965755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO 4974) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0004974-NP) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2023-04-19 |