| NPI | 1730553843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO C-APN-0003150-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP8315) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2024-07-10 |