| NPI | 1669780557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO 0072629) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 10369) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2024-04-23 |