| NPI | 1912110305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13264-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 108163) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0002949-NP) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2024-01-26 |