| NPI | 1912041427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 3303) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN133210) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2022-08-08 |