| NPI | 1649539685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0993854) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0993854) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 1500-033) | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2023-06-13 |