| NPI | 1669942041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0994947) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 54608) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2019-11-22 |