| NPI | 1841448453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP7502) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO RN-173601) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2020-11-13 |