| NPI | 1669733051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09953) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992744-NP) |
| Enumeration Date | 2012-06-03 |
| Last Update Date | 2020-01-09 |