| NPI | 1821402389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9262982) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0002407-C-NP) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2024-07-29 |