| NPI | 1821345570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991827-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN190752) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2020-07-15 |