| NPI | 1902184773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0003259-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP111056) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2022-05-20 |