| NPI | 1821292277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 3749) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 187975) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A116866) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-06-30 |