| NPI | 1750531877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO NP990034) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2007007833) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2021-06-22 |